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v1.0.0
ICD-10 Guide
ICD-10 CodesF02.80

F02.80

Billable

Dementia in other diseases classified elsewhere, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 F02.80 is a billable code used to indicate a diagnosis of dementia in other diseases classified elsewhere, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety.

Key Diagnostic Point:

F02.80 refers to dementia that occurs as a result of other diseases not specifically classified under dementia-related codes. This code is used when the severity of dementia is unspecified and there are no accompanying behavioral, psychotic, mood, or anxiety disturbances. Common underlying conditions that may lead to this type of dementia include chronic diseases such as Parkinson's disease, Huntington's disease, or multiple sclerosis. Patients may exhibit cognitive decline, memory loss, and difficulties with reasoning and judgment, but without the additional complexities of behavioral or mood disturbances. Accurate diagnosis and documentation are crucial for effective management and treatment planning, as well as for appropriate coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of dementia and their underlying causes
  • Understanding the absence of behavioral and mood disturbances
  • Identifying the primary disease causing dementia
  • Documenting cognitive assessments accurately

Audit Risk Factors

  • Inadequate documentation of the underlying disease
  • Failure to specify the absence of behavioral disturbances
  • Misclassification of dementia type
  • Lack of cognitive assessment details

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological assessments, cognitive testing results, and documentation of the underlying disease.

Common Clinical Scenarios

Patients with dementia secondary to Parkinson's disease or multiple sclerosis.

Billing Considerations

Ensure that the absence of behavioral disturbances is clearly documented.

Geriatrics

Documentation Requirements

Comprehensive geriatric assessments, including cognitive evaluations and functional status.

Common Clinical Scenarios

Older adults presenting with cognitive decline without behavioral symptoms.

Billing Considerations

Focus on the patient's overall health status and comorbidities.

Coding Guidelines

Inclusion Criteria

Use F02.80 When
  • According to ICD
  • 10 guidelines, F02
  • 80 should be used when dementia is present due to other diseases, and there are no behavioral, psychotic, mood, or anxiety disturbances
  • Documentation must support the diagnosis and specify the underlying condition

Exclusion Criteria

Do NOT use F02.80 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

96116CPT Code

Neuropsychological testing

Clinical Scenario

Used to assess cognitive function in patients suspected of having dementia.

Documentation Requirements

Results of cognitive assessments must be documented.

Specialty Considerations

Neurologists and geriatricians should ensure comprehensive evaluations.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of dementia types, improving the accuracy of diagnoses and treatment plans. F02.80 provides a means to capture dementia related to other diseases without complicating factors.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of dementia types, improving the accuracy of diagnoses and treatment plans. F02.80 provides a means to capture dementia related to other diseases without complicating factors.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of dementia types, improving the accuracy of diagnoses and treatment plans. F02.80 provides a means to capture dementia related to other diseases without complicating factors.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the significance of using F02.80?

F02.80 is significant as it allows coders to accurately represent dementia that arises from other diseases without complicating behavioral symptoms, ensuring appropriate treatment and billing.